AI-Powered Patient Simulations for Nursing Education
Voice2VoiceSim is a real-time voice simulation platform where nurse practitioner students interview AI patients, write clinical documentation from memory, and receive qualitative feedback — no scheduling, no standardized patient logistics, no numeric scores.
Student at a school that uses Voice2VoiceSim? Enter your access code here →
What Is Voice2VoiceSim?
Voice2VoiceSim is an AI-powered clinical simulation platform built specifically for nurse practitioner (NP) education. Unlike text-based simulation tools such as Shadow Health or i-Human Patients, Voice2VoiceSim uses real-time voice-to-voice conversation — students speak naturally through their microphone and hear the AI patient respond with a realistic voice. This mirrors actual clinical encounters more closely than typing questions and reading text responses.
The platform includes 12 standardized patient scenarios across three clinical settings: Acute Care, Cardiology, and Primary Care. Each AI patient has a distinct personality, clinical history, and set of findings that students must elicit through skilled interviewing. After the interview, students write a clinical note from memory — testing documentation skills without access to the transcript. An AI evaluator then provides qualitative feedback using four competency levels: Proficient, Competent, Developing, and Beginning.
Voice2VoiceSim was developed by Paul Logan, PhD, CRNP — a University of Pennsylvania graduate (1994) with over 30 years of cardiology nurse practitioner practice and NP education at Saint Joseph's University. The platform is part of the NursingEdAI product line.
How Voice Simulation Works
Three steps from interview to feedback
Interview the Patient
Speak naturally through your microphone. The AI patient responds in real-time with a personality-matched voice — giving vague answers first, requiring follow-up questions, and only revealing clinical details when specifically asked. Each interview has a configurable time limit of 5 to 20 minutes.
Write Your Clinical Note
After the interview, write an HPI, PMH, medications, allergies, family history, and social history from memory — without access to the transcript. This tests clinical documentation skills the way real practice does: recall first, notes second.
Get Qualitative Feedback
An AI evaluator reviews your interview technique and documentation, providing a qualitative rating (Proficient, Competent, Developing, or Beginning) with 2-3 specific strengths and 2-3 growth areas. No numeric scores — feedback is encouraging and actionable.
12 Patient Scenarios Across 3 Clinical Settings
Realistic cases designed by an experienced cardiology NP for nurse practitioner education
Acute Care
High-acuity patients presenting to the emergency department and inpatient settings, requiring urgent history-taking under time pressure.
- Acute cholecystitis (45F, severe abdominal pain)
- Subarachnoid hemorrhage (34M, thunderclap headache)
- Pulmonary embolism (62M, post-surgical dyspnea)
- Pyelonephritis (29F, fever and flank pain)
Cardiology
Cardiac complaints ranging from stable angina to acute decompensated heart failure, requiring careful cardiovascular history elicitation.
- Stable angina (58M, exertional chest tightness)
- Decompensated heart failure (72F, orthopnea and edema)
- Palpitations with stimulant use (48M, racing heart)
- SVT vs panic disorder (32F, episodic tachycardia)
Primary Care
Common outpatient presentations requiring thorough history-taking to reach a diagnosis, including sensitive topics like depression screening.
- Hypothyroidism (52F, fatigue and weight gain)
- New hypertension (44M, headaches and high BP)
- Major depression with passive SI (28F, sadness and insomnia)
- New-onset type 2 diabetes (60M, polyuria and polydipsia)
For Nursing Faculty
Voice2VoiceSim eliminates the logistics of standardized patient encounters. No scheduling, no training actors, no room reservations. Faculty create a class in 5 minutes, assign specific patient cases, and toggle between Learning Mode (students see feedback immediately, can repeat) and Assessment Mode (one attempt, results visible only to faculty).
- Manage up to 5 classes simultaneously
- View all student attempts with transcripts and qualitative ratings
- Export results as CSV for program assessment
- FERPA compliant — zero student PII stored on our servers
- $30 per student per semester — add seats mid-semester at prorated cost
For NP Students
Practice patient interviews before clinical rotations, before OSCEs, or anytime you want to sharpen your history-taking skills. Voice2VoiceSim lets you practice the same way you'll perform in the real world — by voice, not by typing. Get immediate, constructive feedback that tells you what you did well and where to focus next.
- All 12 patient scenarios across 3 clinical settings
- Repeat simulations as many times as you want
- Qualitative feedback — encouraging, specific, actionable
- Adjustable interview time limits and documentation options
- $50 per semester — no real name required to sign up
Why Voice-Based Simulation?
Most clinical simulation platforms for nursing education use text-based interaction — students type questions and read responses. But real patient encounters happen by voice. Students need to practice listening, responding to verbal cues, managing awkward silences, and building rapport through tone and pacing. Text-based simulations cannot develop these skills.
Voice2VoiceSim bridges this gap. Each AI patient responds in real-time through natural voice conversation, with personality-appropriate speech patterns, emotional responses, and realistic information layering. The patient gives vague answers first, only elaborating when the student asks targeted follow-up questions — just like a real clinical encounter.
FERPA Compliant by Design
Zero Student PII
School students log in with anonymous word-combination access codes. Student names are processed entirely in the faculty's browser and never transmitted to our servers.
Client-Side Roster Processing
When faculty upload a class roster, JavaScript in the browser generates the code-to-name mapping. Only the anonymous codes are sent to the server. Faculty download and keep the mapping spreadsheet themselves.
BAA Available
We provide a Business Associate Agreement template for institutional compliance offices, though no PHI or student PII is collected for school accounts. Request a BAA.
Qualitative Feedback, Not Punitive Scoring
Voice2VoiceSim uses four qualitative competency levels instead of numeric scores: Proficient (ready for clinical encounters), Competent (strong foundation, minor areas to refine), Developing (good start, keep practicing), and Beginning (building skills, focus on the basics). Every evaluation leads with strengths, frames growth areas as "next time, try..." rather than deficiencies, and cites specific moments from the interview transcript.
This approach supports students who are learning and building confidence. The goal is growth, not anxiety. Faculty see detailed results including all attempts per student, showing progression over time.
Ready to Get Started?
Set up your class in 5 minutes or start practicing individually today.